Monday, May 9, 2011

Clinical Analytics and Healthcare Payment Reform

As the US healthcare system transitions from a pay-for-service model to pay-for-value through new arrangements including bundled payments and the Accountable Care Organization (ACO), healthcare organizations will require advanced analytics solutions to track, analyze and report on quality and cost across every care setting.

Allscripts and Humedica today announced their collaboration on a next-generation cloud-based clinical informatics platform that will help physicians and hospitals succeed in the coming era of value-based reimbursement, addressing a fundamental shift in the way healthcare providers are paid.

Provider organizations need robust operational and outcomes benchmarking and comparative analyses. The solution will enable organizations to manage quality and risk to drive improved outcomes in a complex environment - across all settings of care and even when they are using disparate clinical systems.

Humedica has been providing comprehensive clinical analytics to leading medical groups across the country through its long-term partnership with the American Medical Group Association and its medical informatics subsidiary, Anceta.

The Allscripts-Humedica collaboration will empower physician practices, hospitals, health systems, ACOs, and post-acute providers to:
  • Gain insight into their clinical and operational performance
  • Assess and identify their best clinical practices
  • Identify the levers for clinical improvement
  • Manage individual variations in clinical performance
  • Improve compliance with care guidelines
  • Perform predictive modeling to track high-cost and high-risk patient care in real-time, thereby reducing preventable complications and improving performance
  • Prove the value of care delivered to payers through access to configurable performance benchmarks

"Having worked closely with both Allscripts and Humedica, we are excited that the two organizations are partnering," said C. Edward Brown, FACHE, Chief Executive Officer of The Iowa Clinic, the largest physician-owned multispecialty group in Central Iowa. "We have been extremely satisfied with both the Allscripts Electronic Health Record and the Humedica MinedShare® solution."

"To succeed in the era of payment reform, healthcare organizations need visibility into quality and cost across every care setting with the ability to track the performance of each provider, organization and at-risk patient in the care process," said Glen Tullman, Chief Executive Officer of Allscripts. "Our partnership with and strategic investment in Humedica augments our successful reporting and analytics solutions, with a cloud-based informatics engine that's fine-tuned to meet some of the most pressing challenges of payment reform. In addition, because some of our key clients already have adopted Humedica, we've had the opportunity to see how powerful the solution is and how much more we could do together to advance patient care. "

"Clinical insights gained through analyzing data in the Electronic Health Record and other applications can give healthcare organizations unprecedented visibility to the total clinical risk, true clinical performance and best practices necessary to optimize population health," said Michael Weintraub, President and Chief Executive Officer of Humedica. "Our partnership with Allscripts ultimately will enable healthcare organizations to translate analytics into actions that help them succeed in the era of healthcare reform."

"I have no doubt that many member organizations of the American Medical Group Association, like the Iowa Clinic, will benefit from the relationship between Humedica and Allscripts," said Donald W. Fisher, Ph.D., President and Chief Executive Officer of AMGA. "Multi-specialty medical groups need sophisticated informatics, including in-depth clinical analytics, to assume a leading role in transforming healthcare, through ACOs and other value-based payment models."

Rich Elmore, editor of Healthcare Technology News, is Vice President, Strategic Initiatives at Allscripts.

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